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| Introduction |
Prior Plan Listing identifies:
- members who have been enrolled into a new Health Plan that were
previously disenrolled from another Health Plan up to 90 days in the
past.
Prior Plan Listing process provides information to the previous
Health Plan of members who have now enrolled into a different Health
Plan for transition of care.
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| Schedules |
The
following table outlines schedules for the Prior
Plan Listing process.
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Processing
requirement
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Schedule
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| Prior Plan Listing |
normally completes between 8:00 p.m. and 11:59
p.m. each night for the day's
activity. |
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| Media |
Prior Plan Listing
notifications are produced in data file format. Health Plans, or their services bureaus, must dial in to the
Arizona Health Care Cost Containment System
(AHCCCS) computer system and download the data
file for batch processing.
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| Testing |
Prior Plan Listing notification file
transmissions must be tested in coordination with
the AHCCCSA ISD operations staff prior to
production implementation of a new Health Plan or
change in service bureau, or as a result of
changes. Typical
testing of file
transmission takes approximately one week and must
be completed prior to implementation of any new
processing arrangement.
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| Reference
documents |
Prior
Plan Listing Layout
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